DOUGLAS DOTHAGER (MD) – Pulmonary Disease Physician, NPI 1871599738
Pulmonary Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
848 PULMONARY DISEASE in IL
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Provider Addresses for DOUGLAS DOTHAGER (MD)
4600, Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States
STE. 120
BELLEVILLE, IL 622265368
Phone: (618) 233-2220
Fax: (618) 233-2555
Type: Mailing
4600 MEMORIAL DR STE 200
BELLEVILLE, IL 622265363
Phone: (618) 233-2220
Fax: (618) 233-2555
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 287 Open Payments records for all available years, with a total value of $5,268.
Total Amount is formed as General ($5,268) + Research ($0) + Ownership ($0) = $5,268.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,041).
Total Amount
$5,268
General + Research + Ownership
Payments
287
Total payment records
General Amount
$5,268
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,041 |
| GlaxoSmithKline, LLC. | $624 |
| JAZZ PHARMACEUTICALS INC. | $435 |
| GENZYME CORPORATION | $227 |
| HARMONY BIOSCIENCES LLC | $224 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-09-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050920000931 | I | Pulmonary Disease | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 404 | 129 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 391 | 313 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 189 | 120 | $0 |
| 94726 | Test to determine lung volumes using sensors | 179 | 179 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 178 | 178 | $0 |
Insurance plans in this area (ZIP 62226)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | IL | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 120 | 120 |
| PULMONARY DISEASE | IL | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 170 | 159 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
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